ATI RN
ATI Mental Health n200 Exam Group 2 Questions
Extract:
Question 1 of 5
The nurse is administering furosemide $40 \mathrm{mg}$ PO to a client who has peripheral edema. Which method would the nurse use to best evaluate the client's response to this medication?
Correct Answer: D
Rationale: Furosemide is a diuretic that works by increasing urine output, which in turn reduces fluid retention and swelling. By tracking the client's weight on a daily basis, the nurse can obtain a clear and consistent measure of how much fluid is being lost as a result of the medication.
Question 2 of 5
During assessment, the nurse is most likely to find the attitude of the depressed client toward his illness to be:
Correct Answer: C
Rationale: This attitude suggests a sense of self-blame or low self-worth commonly seen in individuals with depression. They may feel undeserving of happiness or believe that their suffering is justified. This attitude can hinder the individual's willingness to seek help or engage in treatment, as they may believe that they do not deserve support or that their situation is hopeless.
Question 3 of 5
An 85-year-old client is seen in the Emergency Department after a fall at home. The client is slightly confused, malnourished, and severely dehydrated. The client is reluctant to say what happened and her daughter constantly interrupts, not allowing the client to answer. Which of the following nursing interventions is a priority?
Correct Answer: B
Rationale: Given the client's confusion and the daughter's behavior of constantly interrupting and not allowing the client to answer, there may be concerns about elder abuse or neglect. It's essential to create a safe and private environment for the client to speak freely without interference.
Question 4 of 5
The highest priority nursing action relative to the initial phase of alcohol withdrawal would be to:
Correct Answer: C
Rationale: Alcohol withdrawal can lead to dehydration due to symptoms such as vomiting, diarrhea, and increased urination. Replacing fluids is important to prevent dehydration and maintain electrolyte balance.
Question 5 of 5
The nurse is caring for a client after an endoscopy. The client is lethargic and not responding to verbal commands. The priority nursing action is to:
Correct Answer: A
Rationale: The client's lethargy and lack of response to verbal commands raise concerns about their level of consciousness and potential airway compromise. Assessing the client's airway and breathing involves ensuring that the airway is clear, assessing respiratory rate and effort, and monitoring oxygenation.